Female

Lisa M. Rudolph D.M.D.

Pediatric Dentist in Cincinnati, OH(View on Map)

Full Name

Lisa Marie Rudolph D.M.D.

NPI Number

1093031742

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/19/2010

Specialties

(Taxonomies)

Code

1223P0221X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

30.023574

Contact
Information

Purpose

Mailing
Location

Address

3333 BURNET AVE
3333 BURNET AVE

City

Cincinnati
Cincinnati

State

OH
OH

Postal Code

45229-3026
45229-3026

Country

US
US

Telephone Number

(513) 636-4225
(513) 636-4641

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/30/2013

Provider Address

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